Aim. To evaluate the effect of proposed algorithm of surgical treatment of acute necrotizing pancreatitis, which is based on individualized use of mini-invasive surgery.
Material and methods. The analysis of results of treatment of 214 patients with acute necrotizing pancreatitis, who consistently applied surgery with prevailance of mini-invasive technology.
Results and discussion. Consistent implementation of mini-invasive surgery has reduced the number of open wide operations to 19.2% and postpone their implementation period beyond 4 weeks of onset in 85% of patients. The level of newly diagnosed organ failure after surgery was 21.5%, the overall mortality rate — 3.4%.
Conclusions. Using the proposed algorithm of surgical treatment of acute necrotizing pancreatitis provides reduce the number of laparotomy and allows to delay implementation for up to 4th week after onset of the disease, thereby reducing the incidence of postoperative organ failure and mortality.